Application form for mdx original account This application form should be used for those who do not have an Gakunin account that is authenticated via Gakunin (https://www.gakunin.jp/en). We call an “mdx local account” for an account that is authenticated via our own mdx’s two-factor authentication system rather than using Gakunin. If there is no website which lists you in your organization’s official web page, we will ask you to submit a photocopy of identification document.(e.g. your organization card, driver’s license). Details will be announced individually. * mandatory Family name* (Native language) Given name* (Native language) Family name* (English) Given name* (English) Affiliation* (e.g. the University of Tokyo) Division* (e.g. Information Technology Center) Position* (e.g. Professor) Laboratory (Mandatory for graduate students) Email address* (Please use your organization’s email instead of using web mails such as Gmail) Email confirmation* URL that indicates your official web page in your organization. How did you learn about mdx?* Purpose of use of mdx* (Please describe the purpose of using the mdx platform.) Information related to your research activities* (Please share URLs that describe your research activities, e.g. academic papers and/or research project web pages). After pushing the “Confirm” button, please confirm that everything is correct and then press the "Submit" button. A confirmation e-mail will be sent automatically to your email address. Confirm